According to the history, physical examination, and radiological investigations, the possible diagnosis is right-sided hemothorax, lung contusion, elevated right hemidiaphragm due to subpulmonic effusion, diaphragmatic eventration, phrenic nerve injury, or even diaphragmatic rupture.
Diaphragmatic eventration is as an abnormal elevation of the hemidiaphragm or part of it, accompanied by that of the abdominal structures beneath, without losing its continuity.
The diagnosis of a rare condition such as diaphragmatic eventration following a motor vehicle crash may be challenging for a physician dealing with a thoracoabdominal trauma situation.
Thoracoscopic plication for diaphragmatic eventration after surgery for congenital heart disease in children.) Laparoendosc Adv Surg Tech A 2015;25:348-51.
Thoracoscopic diaphragmatic eventration repair in children: about 10 cases.
Diaphragmatic eventration causes loss of compliance of the chest wall and lack of the normal caudal movement of the diaphragm, which are necessary for inspiration, thus altering the ventilation/perfusion ratio.
Ptister-Goedeke and Brunier described four types of thoracic ectopic kidneys: with normal diaphragm, with diaphragmatic eventration, with diaphragmatic hernia, and with traumatic rupture .
Asymptomatic patients with diaphragmatic eventration
may be managed conservatively.
MATERIALS AND METHODS: 25 children of Paediatric age group ranging from 1 day to 5 years with diagnosis of Congenital Diaphragmatic Defects comprising Congenital Diaphragmatic Hernia and Diaphragmatic Eventration are taken up for study.
Left Diaphragmatic Hernia [Figure 2] accounts to 16 cases and Diaphragmatic Eventration 9 cases.
Patients with unilateral diaphragmatic eventration are asymptomatic, however, some complain of dyspnea on effort or rarely orthopnea, due to the decrease in ventilation and oxygenation because of paradoxical motion of the affected diaphragm during inspiration and expiration.
(4) Symptoms of diaphragmatic eventration may include nausea, heartburn, early satiety, post postprandial vomiting, constipation and epigastric discomfort.